Rehabilitation and Therapy Commons^™

“Handicap Removed”: An Alternative Path To The Social Model, Craig M. Rustici

Journal of Gender, Ethnic, and Cross-Cultural Studies

This article identifies an expression of a social model of disability in a 1966 film promoting Hofstra University’s Program for the Higher Education of the Handicapped and traces that model back to books published by the pioneering rehabilitation physician Henry H. Kessler in 1935 and 1947, decades before the UPIAS (Union of the Physically Impaired against Segregation) Fundamental Principles of Disability (1976). In light of Kessler’s articulation of social and minority models, identification of contrasting religious, charity and medical models, and discussion of disability stigma, this article reassesses Ruth O’Brien’s critique, in Crippled Justice (2001), of Kessler and the twentieth-century …

The Benefits Of Static Stretching On Health: A Systematic Review, Semir Masic, Denis Causevic, Nedim Covic, Seth Spicer, Ahmed Gawash

Rowan-Virtua Research Day

Background: The positive effects of static stretching exercises (SS) on physical fitness and rehabilitation are well established, but the effect on general health and physical fitness, including muscle function, flexibility, and activities of daily living at the individual level are less well understood.

Objectives: The objective of this systematic review was to compile the latest research on the effects of SS on general health and different occupational groups with regards to improving or maintaining general health.

Search Methods: This review was registered on PROSPERO and followed PRISMA guidelines. PubMed, Web of Science, Scopus, MEDLINE-Online medical articles, and Science Direct databases …

Comparator Groups In Icu-Based Studies Of Physical Rehabilitation: A Scoping Review Of 125 Studies, Heather K O'Grady, Julie C Reid, Christopher Farley, Quincy E B Hanna, Janelle Unger, David J Zorko, Jackie Bosch, Lyn S Turkstra, Michelle E Kho

Physical Therapy Publications

OBJECTIVES: To characterize comparator groups (CGs) in ICU-based studies of physical rehabilitation (PR), including the type, content, and reporting.

DATA SOURCES: We followed a five-stage scoping review methodology, searching five databases from inception to June 30, 2022. Study selection and data extraction were completed independently, in duplicate.

STUDY SELECTION: We screened studies by title and abstract, then full-text. We included prospective studies with greater than or equal to two arms enrolling mechanically ventilated adults (≥ 18 yr), with any planned PR intervention initiated in the ICU.

DATA EXTRACTION: We conducted a quantitative content analysis of authors' description of CG type …

Animal-Assisted Green Care Farming For Patients With Traumatic Brain Injury, Alex Sargsyan

Epsilon Sigma at-Large Research Conference

Animal-Assisted Green Care Farming for Patients with Traumatic Brain Injury

Purpose

To examine the effects of Animal Assisted Therapies with Farm Animals (AATF) with domesticated ducks on depression and anxiety.

Aim

The proposed study will use single-group time series design and collect survey data to explore the changes in anxiety and depression in patients exposed to AATF. The study will be guided by the Self-Efficacy Theory. The study will involve 30 patients with TBI living in The Crumley House Rehabilitation Center in Limestone, TN.

Hypothesis. Engaging in AATF with domesticated ducks will be associated with decrease in anxiety and depression. …

Education And Perceptions Of Post-Therapy Maintenance Programs In Long-Term Care: A Mixed Methods Exploratory Study, Laura S. Novak, Vanessa D. Jewell, Michael Gerg, Andrea Thinnes

The Open Journal of Occupational Therapy

Background: Occupational therapists develop maintenance programs (MPs) for long-term care (LTC) residents to optimize participation in everyday activities. The purpose of this study was to examine nursing professional attitudes and knowledge of MPs and to evaluate the effectiveness of an occupational therapist-led in-service.

Method: Nursing staff (n = 20) attended the in-service, completed a pre and posttest, and completed interviews (n = 5). We used an exploratory sequential mixed methods design with a one-group quasi-experimental design for the quantitative portion and a descriptive qualitative approach for the interviews.

Results: The results indicated significantly increased knowledge regarding MPs, …

Using The Instrumented Sway System (Isway) To Identify And Compare Balance Domain Deficits In People With Multiple Sclerosis, Patrick G. Monaghan, Andrew S. Monaghan, Andrew Hooyman, Brett W. Fling, Jessie M. Huisinga, Daniel S. Peterson

Physical Therapy Faculty Articles and Research

Objective
To develop a multiple sclerosis (MS)-specific model of balance and examine differences between (1) MS and neurotypical controls and (2) people with MS (PwMS) with (MS-F) and without a fall history (MS-NF).

Design and Setting
A cross-sectional study was conducted at the Gait and Balance Laboratory at the University of Kansas Medical Center. Balance was measured from the instrumented sway system (ISway) assessment.

Participants
In total, 118 people with relapsing-remitting MS (MS-F=39; MS-NF=79) and 46 age-matched neurotypical controls.

Intervention
Not applicable.

Outcome Measures
A total of 22 sway measures obtained from the ISway were entered into an exploratory factor …

Developing Group Protocols In An Inpatient Rehabilitation Setting, Madison Quan

OTD Capstone Projects

This doctoral capstone project was completed through a partnership with Vanderbilt Stallworth Rehabilitation Hospital (VSRH) in Nashville, TN. The focus of this project was the development and implementation of various protocols to be used in group therapy sessions in an inpatient rehabilitation setting. The project sought to provide guidelines for treating a variety of conditions in a group setting and promote individualized patient care. The process for project completion included a thorough review of current literature and available resources at VSRH to guide the creation of multiple evidence-based protocols. This process also included collaboration with the therapy staff to ensure …

The Impact Of Juvenile Drug Court On Recidivism, Mallory Noelle Watkins

Doctoral Dissertations and Projects

The number of youths entering the juvenile justice system is a viable concern throughout the United States. A gap in the existing literature surrounding juvenile justice is recidivism rates among young offenders who are incarcerated or sanctioned to a community-based level of supervision after committing a transgression of a law. Federal juvenile justice practitioners, such as the Office of Juvenile Justice and Delinquency Prevention (OJJDP), the National Council of Juvenile and Family Court Judges (NCJFCJ), the United States Department of Justice (DOJ), and others, in addition to individual states and localities throughout the United States, have taken various approaches to …

Conservative Treatment Of A Symptomatic Os Vesalianum Pedis In A Professional Soccer Player: A Case Report, Mario F. Cruz, Lori A. Bolgla, Ryan Alexander, Peter J. Symbas, Jeremy Royal, Jordan Serrano-Dennis

Internet Journal of Allied Health Sciences and Practice

Objectives: Symptomatic os vesalianum pedis (OVP), a small accessory bone located adjacent to the base of the 5^th metatarsal of the foot, rarely affects individuals who participate in sports. The condition typically is treated with surgical intervention. This case report documents the examination, evaluation, and treatment approach for a professional soccer player treated conservatively with a symptomatic OVP. Methods: A nineteen-year-old professional soccer player presented with pain to the base of the left 5^th metatarsal. Physical examination and imaging resulted in a diagnosis of a symptomatic OVP. The player underwent a 5-stage criterion-based rehabilitation program. Results: The player …

The Satisfaction And Recovery Index, David Walton

Physical Therapy Publications

User Manual for the Satisfaction and Recover Index, including versions of the tool in English, French-Canadian, Persian, and Japanese translations

Psychoanalytic Insights For Rehabilitation Professionals: Three Major Psychoanalytic Perspectives., Kenneth R. Thomas, David M. Rosenthal, Zhou Kaiqi, Jeong Han Kim

School of Rehabilitation Services & Counseling Faculty Publications

This manuscript presents data on how counselors can use theoretical concepts derived from three major schools of psychoanalysis to understand and treat clients with a disability. We survey historical data on the three schools of psychoanalysis (classical, ego psychology, and self-psychology), as well as detailed information on the founders and major contributors to these various schools of psychoanalysis. The data are presented not only to inform counselors about the three approaches to psychoanalysis, but also to help practitioners facilitate their clients' emotional health. In other words, the manuscript serves both an educational and clinical objective.

Biomechanically-Consistent Skin Stretch As An Intuitive Mechanism For Sensory Feedback: A Preliminary Investigation In The Lower Limb, Jenny A. Kent

Physical Therapy Faculty Research

The proprioceptive loss accompanied by lower limb amputation can impair function and mobility. We explore a simple, mechanical skin-stretch array configured to generate superficial tissue behaviour that might occur with movement about an intact joint. Four adhesive pads attached around the circumference of the lower leg were connected via cords to a remote “foot” mounted on a ball joint attached to the underside of a fracture boot, such that “foot” reorientation would result in skin stretch. In two discrimination experiments performed with and without the connection, with no view of the mechanism, and with minimal training, unimpaired adults (i) estimated …

A Scoping Review Of Occupation-Based Interventions For Women With Breast Cancer, Whitney Lucas Molitor, Erika Clark, Brittney Moser

The Open Journal of Occupational Therapy

Background: Globally, breast cancer is the most commonly diagnosed cancer. Women diagnosed with breast cancer often experience physical and psychosocial changes influencing occupational participation and quality of life. Limited evidence exists that reports outcomes of occupation-based occupational therapy interventions for women with breast cancer.

Method: In this scoping review, we map occupation-based occupational therapy interventions conducted by occupational therapy professionals for women undergoing rehabilitation for breast cancer. The Joanna Briggs Institute Guidelines provided a structure for the review.

Results: Six articles met the inclusion criteria. Interventions included health management, leisure, and social participation occupations.

Conclusion: Occupational …

Effectiveness Of Nintendo Ring Fit In Improving Balance Deficits After Recovery From Acl Reconstruction, Emma Lord

Mahurin Honors College Capstone Experience/Thesis Projects

PURPOSE: This study aimed to assess the effectiveness of a gaming system in improving balance and strength after recovery from an anterior cruciate ligament reconstruction (ACLR). Existing bilateral deficits in strength and balance were also assessed among patients. METHODS: Four participants between the ages of 18-24 were recruited for this case-control study. Participants must have had ACL reconstruction surgery in the last 2 years, been discharged from formal physical therapy, and have a continued history of participating in physical activity at least three times a week. Participants were assigned to either the experimental or control groups using counterbalancing. The two …

Higher Intensity Walking Improves Global Cognition During Inpatient Rehabilitation: A Secondary Analysis Of A Randomized Control Trial, Sue Peters, Keith R Lohse, Tara D Klassen, Teresa Liu-Ambrose, Sean P Dukelow, Mark T Bayley, Michael D Hill, Sepideh Pooyania, Jennifer Yao, Janice J Eng

Physical Therapy Publications

Cognitive deficits are common poststroke. Cognitive rehabilitation is typically used to improve cognitive deficits. It is unknown whether higher doses of exercise to promote motor recovery influence cognitive outcomes. Our recent trial, Determining Optimal Post-Stroke Exercise (DOSE), shows more than double the steps and aerobic minutes can be achieved during inpatient rehabilitation versus usual care, and translates to improved long-term walking outcomes. Thus, the secondary analysis aim was to determine the effect of the DOSE protocol on cognitive outcomes over 1-year poststroke. The DOSE protocol progressively increased step number and aerobic minutes during inpatient stroke rehabilitation over 20 sessions. The …

Implementation Of Increased Physical Therapy Intensity For Improving Walking After Stroke: Walk 'N Watch Protocol For A Multisite Stepped-Wedge Cluster-Randomized Controlled Trial, Sue Peters, Shannon B Lim, Mark T Bayley, Krista Best, Louise A Connell, Hélène Corriveau, Sarah J Donkers, Sean P Dukelow, Tara D Klassen, Marie-Hélène Milot, Brodie M Sakakibara, Lisa Sheehy, Hubert Wong, Jennifer Yao, Janice J Eng

Physical Therapy Publications

RATIONALE: Clinical practice guidelines support structured, progressive protocols for improving walking after stroke. Yet, practice is slow to change, evidenced by the little amount of walking activity in stroke rehabilitation units. Our recent study (n = 75) found that a structured, progressive protocol integrated with typical daily physical therapy improved walking and quality-of-life measures over usual care. Research therapists progressed the intensity of exercise by using heart rate and step counters worn by the participants with stroke during therapy. To have the greatest impact, our next step is to undertake an implementation trial to change practice across stroke units where …

Which Patients Are More Likely To Require Postoperative Inpatient Rehabilitation After Operative Intervention Of Traumatic Hip Fractures?, Daniel Lynch, Andrew Romero, Peter Zeblisky, Kyle Mahoney, Huazhi Liu, Darwin Ang

North Florida Division GME Research Day 2023

No abstract provided.

Medical Professionals’ Perspective On Safety And Efficacy Of Early Mobilization In Acute Heart Failure Patients, Kevin Triangto, Febrian M. Santausa, Basuni Radi, Bambang Budi Siswanto

Journal of the Hong Kong College of Cardiology

Acute heart failure (HF) patients most of the time presents with hemodynamic instability, which often leads to prolonged bedrest. Newer studies had shown that early mobilization for HF patients would lead to better outcomes. However, the early mobilization practice has not always been done due to several barriers in the medical professionals’ perspective, especially regarding safety and efficacy. Prior studies had shown that medical professionals’ views would greatly affect patients’ perspectives, especially in HF rehabilitation. This study is aimed to describe medical professionals’ views on the safety of early mobilization for HF. It was then revealed that General Practitioners’ (GP) …

Blood Flow Restrictive Training Following Medial Patellofemoral Ligament And Anterior Cruciate Ligament Reconstruction Rehabilitation, Richard Watson

Theses and Dissertations--Rehabilitation Sciences

Both patellofemoral dislocation and anterior cruciate ligament (ACL) ruptures have a significant impact on an athlete’s ability to regain function and return to play. Surgical repair of the medial patellofemoral ligament (MPFL) and ACL ligament reconstructions result in a sequala of quadriceps weakness. Persistent quadriceps weakness following reconstruction can create a cascade effect of muscular atrophy and weakness resulting in significant knee and leg impairments. An abundance of research has shown that blood flow restrictive training (BFRT) has demonstrated significant results in post-surgical rehabilitation by increasing muscular strength and improving function. What is unclear is the effect of deflating or …

Psychological Readiness In Injured Student-Athletes When Returning To Sport, Samantha J. Burelle

Theses and Dissertations (Comprehensive)

The physical component of recovery is pertinent to success in sport performance, yet there has been an increase in awareness of psychological symptoms and psychological distress experienced by injured athletes. Thus, the psychological aspect of injuries and return to sport (RTS) process cannot be ignored. Psychological readiness (PR) is described by Podlog et al. (2015), Donald (2019), and Podlog et al. (2022) as a dynamic psychological process including factors of realistic expectation, confidence, motivation, and focus. PR addresses the psychological component necessary for a successful RTS. Measurement tools have been developed to assess PR, yet not all factors of PR …

Transcranial Direct Current Stimulation (Tdcs) To Improve Lower Limb Motor Recovery Following Stroke: A Review And Study Proposal, Jessica Fantz-Sands

Scripps Senior Theses

Strokes are the result of restricted blood flow to particular areas of the brain classified by their cause. The neural damage they cause are of growing concern as the number of young adults experiencing strokes has increased by 11% in the last decade. Following stroke, there is an imbalance of inhibitory and excitatory neuronal activity, and disruption of neural networks. These changes lead to neuronal death and loss of synaptic connections that, depending on which part of the brain is affected, result in behavioral deficits such as weakness, limb hemiparesis, and loss of coordination, as well as speech and cognitive …

The Impact Of Patient Characteristics On Dysphagia Therapy Utilization And Feeding Outcomes For Premature Infants In The Neonatal Intensive Care Unit, Tiana Nguyen

Theses and Dissertations

Medical advances have significantly increased the survival rates of preterm infants at lower gestational ages. However, infants born at lower gestational ages have an increased risk for developmental disabilities and oral feeding difficulties. A stay in the neonatal intensive care unit (NICU) is very costly and inadequate oral feeding is the most common barrier to discharge for premature infants. Infants can receive dysphagia therapy services during their NICU stay that focuses on the development of oral feeding and swallowing skills. However, literature to this date has mainly focused on the impact of therapy services for premature infants after NICU discharge. …

Rehabilitation For Total Hip Arthroplasty: A Systematic Review, Kristin J. Konnyu, Daniel Pinto, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Ethan M. Balk, Louise M. Thoma

Physical Therapy Faculty Research and Publications

We sought to determine the comparative benefits and harms of rehabilitation interventions for patients who have undergone elective, unilateral THA surgery for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Register of Clinical Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We included randomized controlled trials and adequately adjusted nonrandomized comparative studies of rehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. Experts in rehabilitation content and complex interventions independently coded rehabilitation interventions. The team assessed …

The Association Between Payer Source And Traumatic Brain Injury Rehabilitation Outcomes: A Tbi Model Systems Study, Anthony H Lequerica, Angelle M Sander, Monique R Pappadis, Jessica M Ketchum, Marissa Jaross, Stephanie Kolakowsky-Hayner, Amanda Rabinowitz, Librada Callender, Michelle Smith

Faculty, Staff and Students Publications

OBJECTIVE: To examine the relationship between payer source for acute rehabilitation, residential median household income (MHI), and outcomes at rehabilitation discharge after traumatic brain injury (TBI).

SETTING: Acute inpatient rehabilitation facilities.

PARTICIPANTS: In total, 8558 individuals enrolled in the Traumatic Brain Injury Model Systems (TBIMS) National Database who were admitted to inpatient rehabilitation between 2006 and 2019 and were younger than 64 years.

DESIGN: Secondary data analysis from a multicenter longitudinal cohort study.

MAIN MEASURES: Payer source was divided into 4 categories: uninsured, public insurance, private insurance, and workers' compensation/auto. Relationships between payer source with residential MHI, rehabilitation length of …

Using Wearable Technology To Quantify Physical Activity Recovery: Secondary Report From The After (App-Facilitated Tele-Rehabilitation) Program For Covid-19 Survivors Randomized Study, Laura Churchill, Mary Morrow, Jacob J. Capin, Sarah Jolley, Kristine Hare, Samantha Mawhinney, Jennifer E. Stevens-Lapsley, Kristine M. Erlandson

Physical Therapy Faculty Research and Publications

Background: Knowledge on physical activity recovery after COVID-19 survival is limited. The AFTER (App-Facilitated Tele-Rehabilitation) program for COVID-19 survivors randomized participants, following hospital discharge, to either education and unstructured physical activity or a telerehabilitation program. Step count data were collected as a secondary outcome, and we found no significant differences in total step count trajectories between groups at 6 weeks. Further step count data were not analyzed.

Objective: The purpose of this analysis was to examine step count trajectories and correlates among all participants (combined into a single group) across the 12-week study period.

Methods: Linear mixed …

Rehabilitation For Total Knee Arthroplasty: A Systematic Review, Kristin J. Konnyu, Louise M. Thoma, Wangnan Cao, Roy K. Aaron, Orestis A. Panagiotou, Monika Reddy Bhuma, Gaelen P. Adam, Ethan M. Balk, Daniel Pinto

Physical Therapy Faculty Research and Publications

We sought to determine the comparative benefit and harm of rehabilitation interventions for patients who have undergone elective, unilateral total knee arthroplasty for the treatment of primary osteoarthritis. We searched PubMed, Embase, The Cochrane Register of Clinical Trials, CINAHL, PsycINFO, Scopus, and ClinicalTrials.gov from January 1, 2005, through May 3, 2021. We included randomized controlled trials and adequately adjusted nonrandomized comparative studies of rehabilitation programs reporting performance-based, patient-reported, or healthcare utilization outcomes. Three researchers extracted study data and assessed risk of bias, verified by an independent researcher. The team assessed strength of evidence. Evidence from 53 studies randomized controlled trials …

Effect Of Playstation® Vr Sessions On Health-Related Quality Of Life And Motor Function In Stroke Patients Undergoing Inpatient Rehabilitation, Chien-Min Chen, Yi-Ching Huang, Kuan-Yu Kung, Yun-Chien Li, I-Lin Yen, Shih-Che Lin, Chu-Hsu Lin, Chia-Hung Lin

Rehabilitation Practice and Science

Background: Virtual Reality (VR) systems have been introduced for rehabilitation of stroke patients. Existing evidence regarding the effects of fully-immersive commercial games on health-related quality of life (HRQOL) and motor function in stroke patients is limited. Objective: To evaluate the efficacy of seven supplemental PlayStation® VR sessions on the HRQOL and motor function of stroke patients undergoing inpatient rehabilitation during a 16-day study period within the first year after stroke. Methods: A randomized, single-blind clinical trial with parallel groups (VR plus conventional therapy vs. conventional therapy) was carried out. For the assessment of outcome measures, the Stroke Impact Scale (SIS) …

Effectiveness Of 3d-Printed Upper Extremity Device For Chronic Neurological Impairment, Joe Kardine, Mba, Ms, Otr/L, Cbis, Mikael Avery, Ms, Otr/L, Alessandro Naopli, Phd, Namrata Grampurohit, Phd, Otr/L, Maryjane Mulcahey, Phd, Otr/L, Mijail Serruya, Md, Phd

Farber Institute for Neuroscience Staff Papers and Presentations

Report on the results of the five adults with UE mobility impairment due to stroke experiences with a lightweight, customized, powered hand orthosis. Study measures utilized were Canadian Occupational Performance Measure, Box and Blocks, and Action Research Arm Test.

Les Facteurs Qui Influencent L'Émergence D'Un Sentiment D'Injustice Suite À Un Accident Du Travail, Michael J. L. Sullivan, Manon Truchon, Pierre Coté, Marie Achille

Rapports de recherche scientifique

De nombreuses études ont rapporté que des niveaux élevés de sentiment d’injustice sont associés à un rétablissement problématique chez les personnes souffrant d’un large éventail de problèmes débilitants de santé et de santé mentale. On en sait peu actuellement sur les facteurs déterminants du sentiment d’injustice dans les suites immédiates d’un accident du travail, ou sur les facteurs déterminants des changements dans le sentiment d’injustice.

L’objectif principal de cette recherche était d’identifier les déterminants du sentiment d’injustice dans les premières semaines suivant un accident du travail. L’échantillon de participants comprenait 187 personnes (92 hommes et 95 femmes) ayant subi une …

Salivary Cortisol Levels And Stress In Adults With Profound Intellectual And Multiple Disabilities Participating In The Structured Water Dance Intervention: A Randomised Controlled Crossover Trial, Lars-Olov Lundqvist, Marie Matérne, Andre Frank, Evalotte Mörelius, Anna Duberg

Research outputs 2022 to 2026

The Structured Water Dance Intervention (SWAN) is a dance-oriented aquatic group activity directed to give opportunities for the joy of movement, relaxation, and reduced stress. This study aimed to evaluate the effects of SWAN on salivary cortisol and stress in adults with profound intellectual and multiple disabilities (PIMD). A total of 34 adults with PIMD at four habilitation centres in Sweden completed the SWAN intervention. The intervention was administered for 40 min once a week during a 12-week period. Saliva cortisol was collected in the morning and evening at baseline one week before the intervention, thrice during the intervention period, …